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Overview

Fourderm Af Cream

Fourderm Af Cream

Manufacturer: Cipla Ltd
Medicine composition: Betamethasone, Gentamicin, Clotrimazole, Benzyl Alcohol
Prescription vs.OTC: Prescription by Doctor required

Fourderm Af Cream belonging to the glucocorticoid class of medication, acts as a steroid. It treats various rheumatic disorders such as systemic lupus erythematous and rheumatoid arthritis. Many skin diseases including psoriasis and dermatitis, allergic conditions such as angioedema and asthma, certain blood disorders, certain eye and skin conditions. Multiple sclerosis, crohn's disease and leukaemia can also be treated with Fourderm Af Cream. It can be administered into the body orally, in the form of an injection or applied as a cream. Being a corticosteroid, it works by decreasing inflammation and modifying the body's immune response to various conditions.

You are advised to not take this medication if you have allergy, systemic fungal infection or an active untreated infection. Fourderm Af Cream can interact with a few other medicines so inform your doctor if you take amlodipine, mifepristone, warfarin, ethinyl, estradiol, insulin, ciprofloxacin, BCG vaccine. Also inform your doctor if you suffer from tuberculosis, electrolytic imbalance, gastrointestinal perforations, infections, myocardial infarction, ocular herpes infection, scleroderma or threadworm infection. This medicine is not recommended to use during pregnancy or breastfeeding unless absolutely required, in which case breastfeeding should be discontinued.

Serious side effects may include an increased risk of infection, severe allergic reactions, muscle weakness, and psychosis. Using Fourderm Af Cream for a long time can cause adrenal insufficiency. Discontinuing the medication suddenly after a long-term use may be dangerous. The cream commonly results in skin irritation and increased hair growth.

Take Fourderm Af Cream as instructed by the doctor. Your dosage duration, timings, forms and other attributes can vary depending on the medical condition and hence following instructions are necessary to ensure this medicine is safe and effective to use.

Allergy and inflammation
This medicine is used to reduce or prevent swelling and irritation associated with conditions like asthma, colitis etc.
Joint inflammation
This medicine is used to relieve swelling and pain associated with diseases like arthritis, rheumatoid arthritis, osteoarthritis, bursitis, tendinitis, gout etc.
Eye inflammation
This medicine is used to relieve swelling, irritation, burning of the eye caused due to infections, allergy, exposure to chemicals etc.
Skin disorders
This medicine is used to relieve swelling, itching, redness, and burning associated with various allergic skin conditions like pruritus, pemphigus vulgaris, seborrhoeic dermatitis etc.
This medicine is not recommended for use if you have a known history of allergy to it or any other medicine belonging to the category of corticosteroids.
Systemic Fungal Infection
This medicine is not recommended for use if you have a fungal infection affecting an internal organ/organs in the body.
Active untreated infection
This medicine is not recommended for use in patients suffering from any serious infection and is yet to receive any treatment for the same.
In addition to its intended effect, Fourderm Af Cream may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Blurred vision Major Rare
Increased appetite Moderate Less Common
Indigestion Minor Less Common
Anxiety and nervousness Moderate Less Common
Skin itch Minor Rare
Drying and cracking of skin Minor Less Common
Acne Minor Common
Change in skin color Minor Common
Persistent infections Major Less Common
Irregular menstrual periods Moderate Rare
Depression Moderate Less Common
Growth retardation in children Moderate Less Common
Hoarseness of voice Minor Common
How long is the duration of effect?
The time duration for which this medicine remains effective is subject to vary depending on the form and route of administration.
What is the onset of action?
The effect of this medicine can be observed within a few minutes after oral administration as it is rapidly absorbed from the gastrointestinal tract. It is subject to vary depending on the route of administration.
Are there any pregnancy warnings?
Use of this medicine during pregnancy is not recommended unless absolutely necessary and the benefits outweigh the risks. Consult your doctor before using this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
Use of this medicine while breastfeeding is not recommended. However, if it absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as Fourderm Af Cream, and hence can be used as its substitute.
Missed Dose instructions
Contact your doctor for instructions if you missed a scheduled dose of this medicine. A self-attempt to make up for the lost dose may result in adverse effects.
Overdose instructions
Contact your doctor if an overdose with this medicine for is suspected especially when the prescribed dose is very high. Symptoms may include thinning of the skin, easy bruising and bleeding, body fat deposits etc.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Tuberculosis Major
This medicine should be used with caution in patients who have recently recovered from tuberculosis. The risks of a relapse are significantly high and hence close monitoring of signs and symptoms is necessary.
Electrolyte imbalance Major
This medicine is known to cause imbalances in the levels of minerals like calcium, potassium, and sodium in the body. Hence it should be administered with caution in patients with a pre-existing electrolyte imbalance disorder.
Gastrointestinal perforations Major
This medicine is known to cause perforations and bleeding in the gut especially when high doses are consumed. Hence this medicine should be administered with caution in patients having a pre-existing perforation disorder of the stomach or intestine.
Infections Major
This medicine can suppress the immune system especially if the dose is high. This may increase the chances of contracting an infection or reduce the capacity to fight an infection. Hence, this medicine or corticosteroids, in general, should not be used in patients with active infections.
Myocardial infarction Major
This medicine should be used with extreme caution in patients who have recovered or are recovering from a recent heart attack.
Ocular herpes infection Major
This medicine should be used with caution if the patient is suffering from an eye infection caused by herpes simplex virus.
Scleroderma Major
This medicine should be used with caution in patients suffering from this disease where the skin and connective tissue beneath becomes hard and stiff.
Threadworm infection Major
This medicine should be used with caution in patients suffering from an infection caused by threadworm (Strongyloides).
Interaction with Alcohol
Alcohol
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Amlodipine Moderate
Report the use of either of the medicine to the doctor. Taking these medicines together may reduce the efficacy of Amlodipine. You may need a dose adjustment and more frequent monitoring of blood pressure levels while using them together.
Mifepristone Major
These medicines should not be used together. Combining them would significantly reduce the efficacy of betamethasone. Your doctor may determine the best course of treatment in such cases.
Warfarin Moderate
Report the use of either of the medicine to the doctor. You may need a dose adjustment of warfarin based on the result of clotting time test performed. Any incidence of unusual bleeding and bruising, chest pain, loss of vision, swelling of arms and feet should be reported to the doctor immediately.
Ethinyl Estradiol Moderate
Ethinyl estradiol can potentially reduce the efficacy of betamethasone. You may need a dose adjustment and special test to safely use these medicines together. Do no stop the use of any medicine without consulting your doctor.
Insulin Moderate
Report the use of either of the medicine to the doctor. You may need a dose adjustment of the diabetic medicine and more frequent monitoring of blood glucose levels while using them together.
Ciprofloxacin Major
Report the use of either of the medicine to the doctor. The risks of adverse effects are significantly high especially in the elderly. Your doctor may prescribe a suitable alternative. Any pain or swelling of the tendons in the ankle, shoulder, biceps etc should be reported immediately.
BCG vaccine Major
This medicine should not be used when you have taken a vaccine containing a live and attenuated strain of the bacteria or virus. Report any recent vaccine taken to the doctor so that suitable alternatives could be prescribed.

Popular Questions & Answers

I am 20 years old and I'm suffering from the rashes in my inner thighs for 2 years. I apply cream eg. Fourderm it heals and again break out. Its becoming worse day by day and also skin thinning has took place there . What should I do?

B.Sc. - Dietitics / Nutrition, Nutrition Certification,Registered Dietitian
Dietitian/Nutritionist, Delhi
I am 20 years old and I'm suffering from the rashes in my inner thighs for 2 years. I apply cream eg. Fourderm it hea...
Jock itch is a very common groin rash. Roughly half of jock itch is due to fungus. The remainder is caused by moisture, irritation, and bacterial overgrowth. In most cases, jock itch can be treated at home effectively. You can try the following remedies to get rid of the infection: 1. Apply over-the-counter antifungal cream, powder, or spray to the affected area - our best options include Lamisil, Lotrimin Ultra, and/or Naftin. These are more expensive, but they will get rid of jock itch faster. Prefer Lotrimin Ultra which contains Butenafine Hydrochloride over regular Lotrimin AF which just contains clotrimazole. Studies have shown Butenafine can be faster and more effective than clotrimazole. You can also purchase cheaper creams containing clotrimazole or miconazole. These will take a little longer to work, but they will effectively wipe out jock itch. 2. Wash the affected area thoroughly with soap and warm water. 3. Dry the affected area thoroughly after bathing and exercise. 4. Change clothes and undergarments every day. 5. Wear loose cotton clothing. Avoid wearing any clothing that rubs or irritates your crotch. 6. Treat any other fungal infections, such as athlete’s foot. Doing this will decrease the risk for recurrence.

I have itching in my foot down side I'm using fourderm cream but itching is not healing.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Delhi
I have itching in my foot down side I'm using fourderm cream but itching is not healing.
Dear Mr. lybrate-user, It is advisable to clean your foot after removing your slippers or shoe whenever you come home. Wear clean cotton socks. Apply candid powder before wearing socks and after cleaning your foot. If the problem still persist, then you may visit your nearest dermatologist.

I have skin problem of ring worm and other I use fourderm but it is same day by day it is increasing.

MBBS, MD - Dermatology
Dermatologist, Delhi
Do not use such creams as mentioned by you ever anywhere on your skin for any indication at all. These are irrational combination of steroid, antibiotic and antifungal. You will end up causing permanent damage to your skin by applying such cream. See a qualified MD/DVD/DNB dermatologist for appropriate treatment.
1 person found this helpful

I have red rashes near my upper thighs. I used fourderm cream but it comes back again and again. So prescribe me some oral drugs and some cream through which it can be cured.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda,
I have red rashes near my upper thighs. I used fourderm cream but it comes back again and again. So prescribe me some...
Yes.. Thanks for health questions Need not to worry Start following ayurvedic medicines... Tab Aarogyavardhini vati Tab Gandhakrasayan vati Hope better health For other medicines details consult privetely

I suffering from itching on legs. This from last 20 days. I am use fourderm, itch guard .it not use. Please help me, Its very terrible.

BSc
Ayurveda, Ujjain
I suffering from itching on legs. This from last 20 days. I am use fourderm, itch guard .it not use.
Please help me,
...
Change food habites take nutritional food. You take khadiraristha syrup 3 spoon add 3 spoon lukewarm water take after lunch end dinner for a month than consult me for further treatment. Massaje charmrogantak tail on itching area. Take less soalt in your daily food to avoid itching problem.

Popular Health Tips

MBBS, Diploma in Venerology & Dermatology (DVD)
Dermatologist, Delhi
Never Apply Any Steroid cream over face like Betnovate, Melacare, skinlite, Fourderm. These are very harmful and It will destroy your skin.
6 people found this helpful

Irregular Heart Rate!

MBBS, Dip.Cardiology, Fellowship in Clinical Cardiology(FICC), Fellowship in Echocardiology
Cardiologist, Ghaziabad
Irregular Heart Rate!

An arrhythmia is a problem with the speed or rhythm of the heartbeat. Atrial fibrillation (AF) is the most common type of arrhythmia. The cause is a disorder in the heart's electrical system.

Often, people who have AF may not even feel symptoms. But you may feel

AF can lead to an increased risk of stroke. In many patients, it can also cause chest pain, heart attack, or heart failure.

Doctors diagnose AF using family and medical history, a physical exam, and a test called an electrocardiogram (EKG), which looks at the electrical waves your heart makes. Treatments include medicines and procedures to restore normal rhythm.

Steroid abuse

MBBS, MD - Dermatology
Dermatologist, Gurgaon
Steroid abuse

Never use potent steroids cream like Betnovate,Lobate,quadriderm,panderm,fourderm,for any skin problem on any part of body because after initial improvement of symptoms like itching, these steroid creams will aggravate the problem and may cause long lasting and somtimes permanent side effects like rashes, sensitive skin, recurrent infection,acne , dryness stretch mark etc.

96 people found this helpful

MD - Consultant Physician, Doctor of Medicine, MD
General Physician, Ahmedabad
Have sparkle in eyes 5 tips.sleep well 6-8 hrs.eat carrots and greens and citrous.wash eyes with warm water twice or thrice.wear goggles specks when in open.avoid uvr do not look at sun in AF.noon. do eye exercises morning and evening
1 person found this helpful

What are Piezogenic Pedal Papules?

M Derm, DNB (Dermatology & Venereology) , MBBS
Dermatologist, Gurgaon
What are Piezogenic Pedal Papules?

When you run your hands over the soles of your feet, the surface should be smooth to touch. However, sometimes, the surface may not be so smooth. Piezogenic pedal papules are papules on the medial, posterior or lateral aspects of both heels and result from herniation of fat. These papules are usually asymptomatic and can range from a size of 2mm to 10mm. In some cases, they can be a little painful. This is seen commonly in large lesions. They become apparent when the patient stands with his full weight on his feet and disappear or shrink when the weight is removed. Piezogenic papules can also occur on the wrists. This is a fairly common condition that affects women more than men. Piezogenic pedal papules can occur at any age including infancy.

There is no known cause for the herniation of fat that causes this condition. However, there are a few factors that could increase your risk of suffering from this condition. These factors are:

  • Obesity
  • Orthopedic problems
  • Flat feet
  • Collagen disorders such as EDS
  • Jobs which entail standing for long hours
  • Excessive weight bearing

This condition can also affect newborn babies with no predisposition. The diagnosis of this condition is often confused with infantile pedal papules, xanthoma and tophi. Since they are prominently visible only when pressure is applied, it is essential for a doctor to physically examine the patient while he or she is standing. This condition does not affect the health of a person and is largely only a cosmetic issue. Thus treatment is not usually necessary but some of the things you could do to relieve the discomfort are:

  • In cases where Ehlers-Danlos syndrome triggers the condition, patients may be recommended betamethasone and bupivacaine injections. These injections need to be administered repeatedly for complete pain relief.
  • Orthotic soles or custom made inserts for shoes can help relieve the pain and distribute pressure equally.
  • Heel taping
  • Compression stockings
  • Avoid excessive or prolonged weight bearing
  • Avoid standing for extended periods and try not to run too much
  • Rest the feet and keep them elevated to help alleviate the symptoms
  • Lose weight if you are on the heavier side
  • Electro acupuncture

Piezogenic pedal papules are benign and are no reason to worry. If they begin to affect the quality of your life, you could consult a podiatrist.

2678 people found this helpful